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SUNBRIDGE HEALTHCARE LLC

Alzheimer Center

Avondale, Arizona

Provider NPI: 1396786919

Organization Information:
Organization Name:  SUNBRIDGE HEALTHCARE LLC


Practice Location:
350 EAST LACANADA  AVONDALE, AZ 85323 US
Tel: 623-932-2282  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
AZNCI378
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
AZNCI378

Other Provider Identifiers:

IssuerNumberStateType
ARIZONA-LIFEMARKAHCCCS ID #:340547AZ01
340547AZ05
ARIZONA-MERCY CAREAHCCCS ID #:340547AZ01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ALZHEIMERS JOBS AZ - Page 1



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